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Ann Thorac Surg 1999;68:559-561
© 1999 The Society of Thoracic Surgeons

Case Reports

Norwood procedure without circulatory arrest

Yutaka Imoto, MDa, Hideaki Kado, MDa, Yuichi Shiokawa, MDa, Kohji Fukae, MDa, Hisataka Yasui, MDb

a Cardiovascular Surgery, Fukuoka Children’s HospitalKyushu University, Fukuoka, Japan
b Division of Cardiovascular Surgery, Kyushu University, Fukuoka, Japan

Address reprint requests to Dr Imoto, Cardiovascular Surgery, Fukuoka Children’s Hospital, 2-5-1 Tojinmachi, Chuo-ku, Fukuoka 810-0063, Japan

In the Norwood procedure for hypoplastic left heart yndrome, the distal descending thoracic aorta was cannulated just superior to the diaphragm through median sternotomy. In combination with cerebral perfusion through the graft anastomosed to the innominate artery, which was used as a systemic-to-pulmonary shunt later, this technique enabled us to completely avoid circulatory arrest and deep hypothermia throughout the operation.




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